| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.22 | $20.22 | $36.68 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Facility | $30.06 | $30.06 | $30.06 | |
Cigna
| Professional | $21.94 | $21.94 | $30.06 | |
United
| Professional | $21.65 | $22.95 | $27.83 |